Catholic Mutual. CARES

Transcription

1 Catholic Mutual. CARES BLOODBORNE PATHOGENS What are Bloodborne Pathogens? Bloodborne pathogens are infectious materials in blood that can cause disease in humans, including hepatitis B and C and human immunodeficiency virus, or HIV. People exposed to these pathogens risk serious illness or death. How do Bloodborne Pathogens Affect Me? The full text of OSHA s Bloodborne Pathogens standard, published in Title 29 of the Code of Federal Regulations , details what employers must do to protect workers whose jobs put them at a reasonable risk of coming into contact with blood and other potentially infectious materials. The standard requires employers to do the following: Establish an exposure control plan. This is a written plan to eliminate or minimize a bloodborne exposure to employees. Use engineering controls. These are devices that isolate or remove the bloodborne pathogen hazard from the workplace. They include sharps disposal containers. Enforce safe practices and procedures. These reduce the likelihood of exposure when performing certain tasks. They include appropriate procedures for handwashing, laundry handling, and contaminated material cleaning. Provide personal protective equipment such as gloves, gowns, and masks. Use labels and signs to communicate hazards. Offer at no charge Hepatitis B (HBV) vaccinations to employees who have occupational exposures. Clean and decontaminate work surfaces to reduce the chances of exposure. Provide information and training to employees. Everyone should understand the dangers of bloodborne pathogens, preventative practices, and post-exposure procedures. What are Universal Precautions? Universal precautions means to always consider all blood and other bodily fluids as being potentially infectious. Precautions should be taken when coming into contact with blood or other bodily fluids such as using gloves, gowns, masks, and protective eyewear. How do I know if I need an Exposure Control Plan? An exposure control plan applies to work activities that may result in exposure to blood or other potentially infectious materials. Teachers who are trained and required to render first aid in case of an emergency, could have these types of activities fall under the plan.

2 The exposure control plan must include (a) a list of tasks identified as having a potential for exposure to bloodborne pathogens; (b) methods to protect students and employees; (c) dates and procedures for providing hepatitis B vaccinations; (d) procedures for post-exposure evaluation and follow-up in case of exposure; (e) content and methods for training students and employees; and (f) procedures for maintaining records. Bloodborne Pathogen Checklist o Does your location have an exposure control plan currently in place? o Does your location participate in any activities that require students, employees, or volunteers to work with specimens of blood or other potentially infectious materials on a regular basis? o Do employees and volunteers follow universal precautions to prevent contact with blood or other potentially infectious materials? o Do employees and volunteers know where to find gloves, masks, eye protection, and other personal protective equipment in an emergency? Ensure hypoallergenic gloves, powderless/latexfree gloves, or other similar alternatives are readily accessible to those who are allergic to the gloves normally provided. o Are handwashing facilities readily accessible? o Do employees and volunteers wash their hands immediately after removing gloves or other personal protective equipment? o Does your location use any type of syringe, needle, or sharp instruments that could cause injury? o Is blood or other potentially infectious materials placed in an appropriate container that prevents leakage during collection, handling, processing, storage, or transport? o Is there a written method of decontamination and schedule for cleaning of all areas and surfaces that may become contaminated with blood or other potentially infectious materials? o Is picking up broken contaminated glassware with your hands prohibited? o Are containers used for sharps disposal closable, puncture resistant, leak-proof on sides and bottom, and labeled with a biohazard warning label or colored red? o Are garments which have been penetrated by blood or other potentially infectious materials removed immediately or as soon as possible by the user? o Does each classroom have first aid kits that contain gloves, compression bandages, biohazard bags for contaminated items, germ killing solution, and paper towels/towelettes? o In addition to classroom first aid kits, is there a larger kit in your facility containing the above plus protective eyewear, masks, and a CPR micro shield? o Are individuals who are reasonably anticipated to have contact with blood or other potentially infectious materials in the course of their work provided training on bloodborne pathogens? o Is a confidential medical evaluation and follow-up made available to an exposed person following a report of an exposure incident?

3 What if I get blood or other body fluids on myself? Wash exposed area with soap and water (If handwashing facilities are not readily available, an appropriate antiseptic hand cleanser and clean cloth, paper towels, or antiseptic towelettes may be substituted. When antiseptic hand cleansers or towelettes are used, wash hands with soap and running water as soon as possible). Flush splashes to nose, mouth or skin with water. Irrigate eyes with water or saline. Report the exposure. Seek the assistance of a health care professional to determine what follow-up actions or treatment may be needed.

4 Model Exposure Control Plan Example This sample document can be used as a template for your own workplace exposure control plan, but you should tailor it to the specific requirements of your establishment. This sample plan contains elements required by the bloodborne pathogens standard, so you should not eliminate any items when converting it for your own use. Your written plan must be accessible to all employees, either online or in an area where they are available for review. POLICY The (Your facility name) is committed to providing a safe and healthful work environment for our entire staff. In pursuit of this goal, the following exposure control plan (ECP) is provided to eliminate or minimize occupational exposure to bloodborne pathogens in accordance with OSHA standard 29 CFR , Occupational Exposure to Bloodborne Pathogens. The ECP is a key document to assist our organization in implementing and ensuring compliance with the standard, thereby protecting our employees. This ECP includes: Determination of employee exposure Implementation of various methods of exposure control, including: o Universal precautions o Engineering and work practice controls o Personal protective equipment o Housekeeping Hepatitis B vaccination when applicable Post-exposure evaluation and follow-up Communication of hazards to employees and training Recordkeeping Procedures for evaluating circumstances surrounding exposure incidents. Implementation methods for these elements of the standard are discussed in the subsequent pages of this ECP. PROGRAM ADMINISTRATION (Name of responsible person or department/contact number) is (are) responsible for implementation, maintenance, review, and updates of the ECP. Those employees who are determined to have occupational exposure to blood or other potentially infectious materials (OPIM) must comply with the procedures and work practices outlined in this ECP. (Name of responsible person or department/contact number) will provide and maintain all necessary personal protective equipment (PPE), engineering controls (e.g., sharps containers), labels, and red bags as required by the standard. Adequate supplies and equipment are available in the appropriate sizes. (Name of responsible person or department/contact number) will be responsible for ensuring that all medical actions required by the standard are performed and that appropriate employee health and OSHA records are maintained. (Name of responsible person or department/contact number) will be responsible for training, documentation of training, and making the written ECP available to employees, OSHA, and NIOSH representatives.

5 EMPLOYEE EXPOSURE DETERMINATION The following is a list of all job classifications at our facility in which all employees have occupational exposure: (as many as necessary) Job Title Department/Location 1. (Example: School Coach/Physical Education Department) The following is a list of job classifications in which some employees at our establishment have occupational exposure. Included is a list of tasks and procedures, or groups of closely related tasks and procedures, in which occupational exposure may occur for these individuals: (as many as necessary) Job Title Department/Location Task/Procedure 1. (Example: Housekeeper/Environmental Services/Handling contaminated waste) NOTE: Part-time, temporary, contract and per diem employees are covered by the bloodborne pathogens standard. The ECP should describe how the standard will be met for these employees. METHODS OF IMPLEMENTATION AND CONTROL Universal Precautions All employees will utilize universal precautions. Exposure Control Plan Employees covered by the bloodborne pathogens standard receive an explanation of this ECP during their initial training session. It will also be reviewed in their annual refresher training. All employees can review this plan at any time during their work shifts. If requested, we will provide an employee with a copy of the ECP within 15 days. The ECP will be reviewed annually or more frequently if necessary to reflect any new or modified tasks and procedures that affect occupational exposure and to reflect new or revised employee positions with occupational exposure. Engineering Controls and Work Practices Engineering controls and work practice controls will be used to prevent or minimize exposure to bloodborne pathogens. The specific engineering controls and work practice controls used are listed below: (as many as necessary) 1. (Example: Sharps Disposal Container) Sharps disposal containers are inspected and maintained or replaced by (Name of responsible person or department/contact number) every (list frequency), or whenever necessary to prevent overfilling. Personal Protective Equipment (PPE) PPE is provided to our employees at no cost to them. Training in the use of the appropriate PPE for specific tasks or procedures is provided by (Name of responsible person or department/contact number).

6 The types of PPE available to employees are as follows: 1. (Example: gloves, eye protection) PPE is located (List location). All employees using PPE must observe the following precautions: Wash hands immediately or as soon as feasible after removing gloves or other PPE. Remove PPE after it becomes contaminated and before leaving the work area. Used PPE may be disposed of in (List appropriate containers for storage, laundering, decontamination, or disposal) Wear appropriate gloves when it is reasonably anticipated that there may be hand contact with blood or other body fluid, and when handling or touching contaminated items or surfaces; replace gloves if torn, punctured or contaminated, or if their ability to function as a barrier is compromised. Disposable gloves should NEVER be reused. Dispose of gloves immediately after use. Wear appropriate face and eye protection when splashes, sprays, spatters, or droplets of blood pose a hazard to the eye, nose, or mouth. Remove immediately or as soon as feasible any garment contaminated by blood or body fluid, in such a way as to avoid contact with the outer surface. The procedure for handling used PPE is as follows: (include how and where to discard face shields, eye protection, gowns, etc.) Housekeeping Regulated waste is placed in containers which are closable, constructed to contain all contents and prevent leakage, appropriately labeled or color-coded (see the following section Labels ), and closed prior to removal to prevent spillage or protrusion of contents during handling. The procedure for handling sharps disposal containers is: The procedure for handling other regulated waste is: Contaminated sharps are discarded immediately or as soon as possible in containers that are closable, puncture-resistant, leak proof on sides and bottoms, and appropriately labeled or color-coded. Sharps disposal containers are available at (must be easily accessible and as close as feasible to the immediate area where sharps are used list all locations). Broken glassware that may be contaminated is only picked up using mechanical means, such as a brush and dustpan. The glass should then be disposed of in a container that is puncture-proof. All restrooms, toilets, urinals, etc. will be cleaned with a 10% bleach solution or disinfectant daily.

7 Laundry Laundering will be performed by (Name of responsible person or company/contact number) at (time and/or location). The following laundering requirements must be met: Handle contaminated laundry as little as possible, with minimal agitation Place wet contaminated laundry in leak-proof, labeled or color-coded containers before transport. Use (specify either red bags or bags marked with the biohazard symbol) for this purpose. Wear the following PPE when handling and/or sorting contaminated laundry: (List appropriate PPE). Labels The following labeling methods are used in this facility: Equipment to be Labeled Label Type (size, color) (Example: Contaminated laundry in a red bag) HEPATITIS B VACCINATION Hepatitis B vaccination is encouraged when regularly working with blood or other body fluids. This may not be applicable at your location, but should be offered at no cost to employees who have occupational exposures. If the employee initially declines the Hepatitis B vaccination but at a later date while still performing the same duties decides to accept the vaccination, the facility should make the vaccination available at that time. (Employee form for declining vaccination is attached). POST-EXPOSURE EVALUATION AND FOLLOW-UP Should an exposure incident occur, contact (Name of responsible person/contact number). If necessary, an immediately available confidential medical evaluation and follow-up should be conducted. Following initial first aid (clean the wound, flush eyes or other mucous membrane, etc.), the following activities will be performed: Document the routes of exposure, how the exposure occurred, and who was involved. Obtain consent and make arrangements to have involved parties seen by a medical professional (if applicable). They can see their own doctor or the facility will arrange for a doctor to examine them. In either case, any expenses will be born by the facility. Ensure the healthcare professional receives the following information: Description of employee s job duties relevant to the exposure Route(s) of exposure Circumstances of exposure Any other pertinent information

8 PROCEDURES FOR EVALUATING THE CIRCUMSTANCES SURROUNDING AN EXPOSURE INCIDENT Review the circumstances of all exposure incidents to determine: Engineering controls in use at the time Work practices followed A description of the device being used (including type and brand) Protective equipment or clothing that was used at the time of the exposure incident (gloves, eye shields) Location of the incident (playground, office) Action when the incident occurred Employee s training EMPLOYEE TRAINING All employees who have occupational exposure to bloodborne pathogens should receive annual training conducted by (Name of responsible person or company/contact). Training records will be maintained and include date, content, and the names of those in attendance. All employees who have occupational exposure to bloodborne pathogens receive training on the epidemiology, symptoms, and transmission of bloodborne pathogen diseases. In addition, the training program covers, at a minimum, the following elements: Explanation of the OSHA bloodborne pathogen standard Explanation of our ECP and how to obtain a copy Explanation of methods to recognize tasks and other activities that may involve exposure to blood Explanation of the use and limitations of engineering controls, work practices, and PPE Explanation of the types, uses, location, removal, handling, decontamination, and disposal of PPE Explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available Explanation of the signs and labels and/or color coding required by the standard and used at this facility (Reference: OSHA 29 CFR and 29 CFR ). This document is to be used as a guide and not intended to replace current standards of practice. Additional information may be needed for your location. You can access full text of standards at

9 Declining of Hepatitis B Vaccine (Mandatory) I understand that due to my occupational exposure to blood and other potentially infectious materials, I may be at risk of acquiring Hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with Hepatitis B vaccine at no charge to myself. However, I decline Hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood and other potentially infectious materials and I want to be vaccinated with Hepatitis B vaccine, I can receive the vaccination series at no charge to me. Employee Signature Date Printed Employee s Name Witness Witness Title Title Updated 11/14/13

EXPOSURE CONTROL PLAN (sample) 1 Child Care Directors and Employers The Model Exposure Control Plan is intended to serve as an employer guide to the OSHA Bloodborne Pathogens standard. A central component

Exposure Control Plan POLICY The College of Pharmacy at Idaho State University is committed to providing a safe and healthful work environment for our staff and students. In pursuit of this goal, the following

Sample Exposure Control Plan This sample Exposure Control Plan is provided as a guide to help employers create their own plan. Policy (Insert Facility/Company Name) are committed to providing its employees

Exposure Control Plan (ECP) for Bloodborne Pathogens Updated 9/15/2009 Purpose Our Company is committed to providing a safe and healthful work environment for our entire staff. In pursuit of this endeavor,

WEST VIRGINIA UNIVERSITY EXPOSURE CONTROL PLAN FOR NON-HOSPITAL PERSONNEL POLICY The West Virginia University (WVU) is committed to providing a safe and healthful work environment for our entire staff.

BLOODBORNE PATHOGENS EXPOSURE CONTROL PROGRAM Purpose: The purpose of this program is to eliminate or minimize employee and student exposure to blood and other potentially infectious materials. This exposure

Roger Williams University Bloodborne Pathogens Exposure Control Plan Revised 12/2010 ROGER WILLIAMS UNIVERSITY BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN I. STATEMENT OF POLICY It is the policy of Roger

I. Introduction OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS (29 CFR 1910.1030) It is estimated that approximately 5.6 million workers in health care and other fields are exposed to bloodborne pathogens.

ADVISORY NO. 6.2: UNIVERSITY OF CINCINNATI EXPOSURE CONTROL PLAN PURPOSE: To control and minimize the transmission of bloodborne pathogens at the University of Cincinnati, to provide a safe workplace for

Taken for Program s Policies and Procedure Manual, Page, 36 and 37 Blood Borne Pathogen Training - Exposure Plan Students are required to go through yearly Blood borne Pathogen Training. This may be part

DO YOU WORK AROUND BLOOD OR BODY FLUIDS? Cal/OSHA s New Rules Labor Occupational Health Program University of California, Berkeley 1994 ACKNOWLEDGMENTS This booklet is a publication of the Labor Occupational

www.osha.gov Model Plans and Programs for the OSHA Bloodborne Pathogens and Hazard Communications Standards OSHA 3186-06R 2003 This informational booklet provides a general overview of a particular topic

6.0 Infectious Diseases Policy: Student Exposure Control Plan 6.1 PURPOSE & SCOPE This exposure control plan has been established to define the infection control program for students of Pacific University.

BLOODBORNE PATHOGENS 2016-2017 WESTERN DUBUQUE SCHOOLS Welcome to our online Bloodborne Pathogen training required of all Western Dubuque coaches and various substitutes each year. This training will fulfill

POLICY 08:18:00 BLOODBORNE PATHOGENS CONTROL PLAN I. Purpose and Scope The purpose of this plan is to establish guidelines and precautions for the handling of materials which are likely to contain infectious

BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN Facility Name: University of Arkansas at Little Rock Date of Preparation: 01-17-06 In accordance with the OSHA Bloodborne Pathogens Standard, 1910.1030, the following

Standard Operating Procedure for Blood Borne Infectious Disease Control Measures at Calvin College Clean up should be done by non-student employees and trained personnel only Cleaning Up BODY FLUIDS from

JAC-CEN-DEL COMMUNITY SCHOOLS BLOODBORNE PATHOGENS UNIVERSAL PRECAUTIONS A BACK TO SCHOOL TRADITION UNIVERSAL PRECAUTIONS AGAINST BLOODBORNE PATHOGENS Employees working in a school system are potentially

WHY ARE WE HERE? OSHA BB Pathogen standard anyone whose job requires exposure to BB pathogens is required to complete training employees who are trained in CPR and first aid The more you know, the better

Health Service Bloodborne Pathogen Training In Accordance with PESHA (and OSHA) regulations, all employees of the College Health Service are required to have annual training concerning Bloodborne Pathogens.

Bloodborne Pathogens Scott Anderson CCEMTP Materials used with permission from the Oklahoma State University What is a Bloodborne Pathogen? Microorganisms that are carried in the blood that can cause disease

Dealing With Workplace Injuries Part I: Blood Borne Pathogens OSHA requirements for a specific plan dealing with blood means coming to the aid of injured employees isn't the simple matter it once was By

he HIPAA Challenge: How to protect patient privacy while providing necessary information to individuals and entities involved in the patient s care that need patient information to perform necessary services.

SHARPS INJURY AND BLOODBORNE PATHOGEN EXPOSURE POLICY Purpose Faculty, staff, and students of the Massachusetts College of Pharmacy and Health Sciences shall utilize comprehensive and standardized procedures

CHAPTER ONE HUNDRED INFECTIOUS DISEASE CONTROL POLICY I. PURPOSE The purpose of this directive is to establish guidelines for infectious diseases. Further, the purpose of this policy is to provide officers

OSHA Compliance Checklist ASC Date Inspectors Facility OSHA is the agency responsible for establishing and enforcing standards that will make the workplace safe and healthful for the employees. The way

Biohazard Response Spill Kit Frequently Asked Questions Q. Does the Biohazard Response Spill Kit remove a stain of blood from carpet that is a couple of days old or will it only work on fresh spills? Will

Response to Biological Spills in the Laboratory (Intentional or Accidental) Exposure Management For splash to eyes, mucous membranes, or broken area of the skin Irrigate eyes with clean water, saline or

From Infection Prevention: A Reference Booklet for Health Care Providers 2001 EngenderHealth Use and Disposal of Sharps In health care settings, injuries from needles and other sharp items are the number-one

Infection Control Guideline / Best Practice GUIDELINE NUMBER: ICG-0025 EFFECTIVE DATE: 1 MARCH 97 Purpose: The purpose of this guideline is to minimize or eliminate employee exposure to communicable diseases.

Kean University BS Degree Program in Athletic Training BLOOD BORN PATHOGENS POLICY Effective September 2, 2014 The following policy will apply to students taking classes and faculty teaching those classes

AN OSHA COMPLIANCE GUIDE FOR THE PODIATRIC PHYSICIAN MAY 2003 Published by the American Podiatric Medical Association, Inc. The materials enclosed in this manual are not intended to be a source of legal

Blood borne Pathogens What Are Blood borne Pathogens? Blood borne pathogens are microorganisms such as viruses or bacteria that are carried in blood and can cause disease in people. Types of Blood borne

Appendix D October 10, 2014 Infection Prevention and Control s for Hospitalized Patients with Known or Suspected Ebola Virus Disease in U.S. Hospitals Standard, contact, and droplet precautions are recommended

Section IV Laboratory Biosafety Level Criteria The essential elements of the four biosafety levels for activities involving infectious microorganisms and laboratory animals are summarized in Table 1 of

KEY CAL/OSHA STANDARDS THAT APPLY TO MOST EMPLOYERS FACTSHEET 1 Below are some key Cal/OSHA standards that apply to most employers: A. INJURY AND ILLNESS PREVENTION PROGRAM STANDARD (Title 8 California

Exposure Control Plan for Bloodborne Pathogens THE UNIVERSITY OF TEXAS AT ARLINGTON Exposure Control Plan for Bloodborne Pathogens Developed in accordance with Texas Department of State Health Services

Bloodborne Pathogens San Diego Unified School District Nursing & Wellness Program August 2013 Why Another In-service?? Cal/OSHA mandates that employees with occupational exposure are informed at the time

OVERVIEW Prevention is the most important part of any spill management plan. Be sure to read and understand standard operating procedures (SOP s) and protocols for safe manipulation of biohazards before

Virginia Commonwealth University Health System Medical College of Virginia Hospitals and Physicians Infection Control Policy Subject: Policy No: 1101.01 Original Date: Bloodborne Pathogen Exposure Control